Apparatus for Eliciting a Blood Sample

ABSTRACT

The present application relates to an apparatus for eliciting a blood sample. The apparatus has a housing having an aperture. A shaft extends in the housing and a testing member is mounted on the shaft which rotates with the shaft. A lancing member is pivotably mounted to the testing member and a lancet protrudes from the lancing member. The lancing member is arranged to pivot relative to the testing member from a retracted position to a skin penetrating position in which the lancet extends into or through the aperture when the testing member is rotated so that the lancing member is coincident with the aperture.

CROSS REFERENCE TO RELATED APPLICATIONS

The present application is a U.S. National Phase Application pursuant to35 U.S.C. §371 of International Application No. PCT/EP2013/050304 filedJan. 9, 2013, which claims priority to European Patent Application No.12150606.7 filed Jan. 10, 2012. The entire disclosure contents of theseapplications are herewith incorporated by reference into the presentapplication.

FIELD OF INVENTION

The present invention relates to an apparatus for eliciting a bloodsample.

BACKGROUND

Diabetes sufferers may be provided with quantities of insulin, forinstance by injection, sometimes a number of times daily. The quantityof insulin that is appropriate depends on the person's blood glucoselevel, so blood glucose level measurement can also occur a number oftimes daily.

Blood glucose level measurement typically is a multi stage process. Thefirst is lancing, in which a lancet, or needle, is used to pierce theskin of a user, for example on the end or side of a finger. Once asuitable amount of blood has been produced, a sample is taken on atesting strip. A person may need to squeeze their finger in order tocause sufficient blood to be expelled. Sometimes lancing needs to bereperformed. The testing strip then is provided to a meter, typically anelectronic meter, which analyses the sample, for example by determininga parameter (e.g. an electrochemical potential or voltage, resultingfrom a chemical reaction between the blood sample and an enzyme presentin the testing strip, and provides a blood glucose measurement result.This measurement is then used to determine an amount of insulin to beconsumed by the person.

Unpublished PCT patent applications numbered PCT/EP2011/061536,PCT/EP2011/061537, PCT/EP2011/061538, PCT/EP2011/061540 andPCT/EP2011/061542 and European application numbers [numbers] relate to anew class of blood glucose measurement device. The device includeslancing and measuring features. In use, a user places a body partagainst an aperture in the device and the device first lances the bodypart then collects a blood sample, then processes the blood sample tomeasure a blood glucose level.

Lancing can be painful or at least uncomfortable for a user. Numerousefforts have been made to reduce or minimise discomfort to a user in thelancing process. More effective efforts typically involve morecomplicated, and thus more expensive, mechanical or electro-mechanicalarrangements.

SUMMARY

According to embodiments of the present invention, there is provided anapparatus for eliciting a blood sample comprising a housing having anaperture, a shaft extending in the housing, a testing member mounted onthe shaft and configured to rotate with the shaft, a lancing memberpivotably mounted to the testing member; and a lancet protruding fromthe lancing member, wherein the lancing member is configured to pivotrelative to the testing member from a retracted position to a skinpenetrating position in which the lancet extends into or through theaperture when the testing member is rotated so that the lancing memberis coincident with the aperture.

The apparatus may further comprise an actuating element configured toact on the lancing member so that the lancing member pivots from aretracted position to a skin penetrating position when the lancingmember is coincident with the aperture.

The actuating element may be configured to bias the lancing member awayfrom the centre of the testing member.

The actuating element may be configured to bias the lancing memberagainst the housing when the lancing member is in a retracted position.

The actuating element may be a resilient member configured to act on thelancing member.

The actuating element may extend from the testing member to act on thelancing member.

The actuating element may be integrally formed with the testing member.

The actuating element may extend from the lancing member to act on thetesting member.

The actuating element may extend from the housing.

The actuating element may have a guide surface against which the lancingmember locates, the guide surface being configured to urge the lancingmember to pivot as the testing member is rotated so that the lancingmember is coincident with the aperture.

The lancing member may further comprise a cam face configured todetermine the path of the lancing member from the retracted position tothe skin penetrating position.

The cam face may be configured to locate against the housing.

The actuating element may be a tab extending from the housing which isconfigured to locate in an indent in the lancing member and urge thelancing member to pivot as the testing member is rotated so that thelancing member is coincident with the aperture.

The apparatus may further comprise a biasing element configured to biasthe lancing member against the housing.

The apparatus may further comprise an end stop to limit rotation of thelancing member.

The apparatus may further comprise a recessed section in which thelancing member is received.

The apparatus may be a cartridge receivable in a meter.

The apparatus may further comprise a meter.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the invention will now be described, by way of exampleonly, with reference to the accompanying drawings, in which:

FIG. 1 is a perspective view of a blood glucose meter (BGM) according toaspects of the invention.

FIG. 2 is a perspective view of the BGM of FIG. 1 with a portion shownas transparent, so as to allow features inside a housing to be seen;

FIG. 3 is the same as FIG. 2 although a lid portion is shown as beingremoved;

FIG. 4 is the same as FIG. 3, although a cartridge is shown as partlyremoved;

FIG. 5 illustrates components of one embodiment the BGM of FIG. 1;

FIG. 6 is a perspective view of components of the BGM of FIG. 5 but witha hollow cylindrical housing part shown as transparent;

FIG. 7 is a perspective view of a test disc member forming part of theBGM of FIGS. 1 and 5;

FIG. 8 is an underneath perspective view of the test disc member of FIG.7;

FIGS. 9 to 12 illustrate the BGM of FIGS. 5 to 7 at different stages ofa blood collection sample process;

FIG. 13 is a perspective view of components of the BGM of FIG. 1;

FIG. 14 is the same as FIG. 13, although with a hollow cylindricalhousing part not shown;

FIG. 15 is the same as FIG. 14 although with a swing arm located in adifferent position;

FIG. 16 illustrates components of a second embodiment of the BGM of FIG.1 in a perspective view;

FIG. 17 illustrates a test disc member forming part of the FIG. 16embodiment;

FIGS. 18 to 21 illustrate the embodiment of the BGM of FIG. 16 atdifferent phases of operation;

FIG. 22 is an alternative embodiment of a test disc member;

FIG. 23 is a flowchart illustrating operation of the first embodiment ofthe BGM of FIG. 1;

FIG. 24 is a flowchart illustrating operation of the second embodimentof the BGM of FIG. 1;

FIG. 25 is a cross-sectional plan view of part of another embodiment ofa BGM with a test disc member in a retracted position;

FIG. 26 is a cross-sectional plan view of part of the BGM shown in FIG.25 with a test disc member in an intermediate position;

FIG. 27 is a cross-sectional plan view of part of the BGM shown in FIG.25 with a test disc member in a skin penetrating position;

FIG. 28 is a cross-sectional plan view of part of a further embodimentof a BGM with a test disc member in a retracted position;

FIG. 29 is a cross-sectional plan view of part of the BGM shown in FIG.28 with a test disc member in an intermediate position;

FIG. 30 is a cross-sectional plan view of part of the BGM shown in FIG.28 with a test disc member in a skin penetrating position;

FIG. 31 is a cross-sectional plan view of part of another embodiment ofa BGM with a test disc member in a retracted position;

FIG. 32 is a cross-sectional plan view of part of the BGM shown in FIG.31 with a test disc member in an intermediate position;

FIG. 33 is a cross-sectional plan view of part of the BGM shown in FIG.31 with a test disc member in a skin penetrating position;

FIG. 34 is a cross-sectional plan view of part of another embodiment ofa BGM with a test disc member in a retracted position;

FIG. 35 is a cross-sectional plan view of part of the BGM shown in FIG.34 with a test disc member in an intermediate position; and

FIG. 36 is a cross-sectional plan view of part of the BGM shown in FIG.34 with a test disc member in a skin penetrating position.

DETAILED DESCRIPTION

A blood glucose meter (BGM) 100 is shown in FIG. 1. The BGM 100 is shownin a perspective view. The BGM 100 has a generally flat base, that isnot visible in the figure. The BGM 100 is approximately as tall as it islong, and its width is approximately one-third of its height

On one side face of the BGM are provided first, second and third inputs101, 102, 103. These may take the form of push-switches or touchsensitive transducers, for instance. Also provided on the side of theBGM next to the input devices 101 to 103 is a display 104. This may takeany suitable form, for instance a liquid crystal display (LCD), e-inketc. In use, a user may control the BGM 100 using the input devices 101to 103 and may be provided with information by the BGM through thedisplay 104.

Located at a front face of the BGM 100 is an aperture 105. The aperture105 is located at approximately half of the height of the BGM. Theaperture 105 is configured such as to be able to receive a part of auser's body, for the purpose of extracting a blood sample therefrom. Forinstance, the aperture 105 may be dimensioned so as to receive an end ora side part of a finger or thumb, or may be dimensioned so as to receivea side of a user's hand or a pinch of skin from a user's arm. Theaperture may be rectangular in shape. Its edges may be bevelled, so asto guide a user's digit into a specific location.

The aperture 105 is provided in the side of a cartridge 106. Thecartridge has a generally cylindrical form, and is arranged verticallyin the BGM 100.

In particular, the BGM includes a first housing part 107. The firsthousing part 107 forms the base, left and right side face and the rearface of the BGM 100. On the front face of the BGM 100, the first housingpart 107 also comprises the lowermost part of the side face. A fixed lidpart 108 is attached to the first housing part 107. The fixed lid part108 comprises most of the top surface of the BGM 100. A removable lidpart 109 comprises the remaining part of the top surface of the BGM 100.The removable lid part is disposed above the cartridge 106 at the frontface of the BGM 100.

The first housing part 107 is configured such as to provide an elongateaperture 110 at the front face of the BGM 100. The elongate aperture 110may extend for most of the height of the front face of the BGM 100. Theelongate aperture 110 is defined at the uppermost part by the removablelid part 109 and is defined by the first housing part 107 at the right,left and bottom. The BGM 100 is arranged such that the cartridge 106occupies the whole of the area of the elongate aperture 110. A slidableor pivotable door in the housing part 107 of the BGM 100 may cover allor a part of the elongate aperture 110 when the BGM is not in use. Thedoor may cover at least the aperture 105, such as to prevent the ingressof dirt and other potential contaminants into the aperture 105

The cartridge 106 is more clearly visible in FIG. 2. FIG. 2 shows thesame view as FIG. 1, although the removable lid part 109 and the firsthousing part 107 are shown in wire frame. As can be seen from FIG. 2,the cartridge 106 has a generally cylindrical form, and is arrangedvertically. The diameter of the cartridge 106 is greater than the widthof the aperture 110 by a factor for instance of between 5 and 50%. Thecartridge 106 has a length that is between 3 or 4 times its diameter.

In FIG. 3, the removable lid part 109 is shown as having been removedfrom the BGM 100. The first housing part 107, the fixed lid part 108 andthe removable lid part 109 are configured such that when the removablelid part is in place on the BGM the cartridge 106 is retained bymechanical interaction between the three components but is removable bya user. The exact way in which the removable lid part 109 is releasedfrom the BGM 100 is not critical and is not described in detail here.

The removable lid part 109 is configured such that when removed from theBGM 100 the cartridge 106 is able to be extracted from the BGM by movingit vertically along its axis. In FIG. 4, the cartridge 106 is shown asbeing partly removed from the BGM 100. When fully removed, the elongateaperture 110 reveals a cavity in the BGM 100. A replacement cartridgecan then be introduced into the BGM 100 in the opposite manner to whichthe old cartridge 106 was removed. Once located at the bottom of thecavity in the BGM, the new cartridge 106 is partly surrounded by thefirst housing part 107. Once the removable lid part 109 has beenreplaced, to the position shown in FIG. 1, the cartridge 106 is retainedin place by the action of the first housing part 107 and the removablelid part 109. The aperture 105 in the cartridge 106 is presented at thefront face of the BGM 100, in the same way as shown in FIG. 1. Thecartridge 106 and the cavity which receives the cartridge may have akeying feature, such as a protrusion and a groove, a non circulardiameter, or the like. Thus, when the cartridge 106 is fully inserted,the aperture 105 is in a fixed position to the elongate aperture 110,for example in a centred position as shown in FIG. 1.

FIG. 5 shows a subsystem 200 of the blood glucose meter 100. Thesubsystem 200 includes the cartridge 106, a drive wheel 201 and a drivebelt 202.

In FIG. 5, the cartridge shown as having a hollow cylindrical housingpart 203, which constitutes part of a housing. The aperture 105 isformed in the hollow cylindrical housing part 203. Coaxial with thehollow cylindrical part 203 is an elongate shaft 204, only the top partof which is illustrated in FIG. 5. The length of the shaft 204 is suchthat its uppermost end is slightly below the uppermost end of the hollowcylindrical housing part 203. As will be described below, the shaft 204is mechanically coupled with the drive belt 202 so as to be rotatable byrotation of the drive wheel 201.

Formed with the inner surface of the hollow cylindrical housing part 203are first and second guide members 205, 206. In FIG. 5, it can be seenthat the first and second guide members 205, 206 have a generallytriangular cross section. One side of the triangular cross section ofthe first and second guide members 205, 206 is integral with the innersurface of the hollow cylindrical housing part 203, with a point of thetriangular cross section extending towards the centre of the cartridge106. A part of the length of the first guide member 205 is visible inFIG. 5, but only the uppermost surface of the second guide member 206 isvisible in that figure.

FIG. 5 also shows some electronic components that form parts of theblood glucose meter 100. These components are provided within thehousing 107 but do not form part of the cartridge 106.

A bus 211 is arranged to connect a number of components including amicroprocessor 212, random access memory (RAM) 213, read-only memory(ROM) 214, a keys interface 215, a display driver 216, an analyteinterface circuit 219 and a motor interface 217. All of these componentsare powered by a battery 218, which may take any suitable form.

Stored in the ROM 214 is software and firmware that governs operation ofthe blood glucose meter 100. The software/firmware is executed by themicroprocessor 212 using the RAM 213. The software/firmware stored inthe ROM 214 is operable to operate the blood glucose meter 100 such asto allow control by a user through the keys or input devices 101 to 103,as detected by the keys interface 215. A blood glucose measurement andother information is provided on the display 104 at suitable times byoperation of the software/firmware and the microprocessor 212 throughthe display driver 216.

The motor interface 217 allows the microprocessor 212, according to thesoftware/firmware stored in the ROM 214, to control the motor that iscoupled to the drive wheel 201, and any other motors that are includedin the blood glucose meter 100 (as will be described below).

The analyte interface circuit 219 is operable to provide electricalsignals with certain voltages to the electrical contact terminals 401,and thus the contact pads 318 and thus the analyte measuring part 316,and to measure parameters of signals such as to allow the microprocessor212 to measure a blood glucose level of a blood sample.

FIG. 6 is the same as FIG. 5 except that the hollow cylindrical housingpart 203 is shown in wire frame, so as to reveal components internal toit, and in that the electronic components are omitted. In FIG. 6, athird guide member 207 is visible. As can be seen from this figure, thefirst and second guide members 205, 206 are located only in theuppermost half of the length of the cartridge 106, and the third guidemember 207 is located only in the lowermost half of the cartridge 106.The first, second and third guide members 205 to 207 are distributedaround the circumference of the hollow cylindrical housing part 203. Inparticular, the first and second guide members 205, 206 are located atapproximately 100 to 160 degrees from one another. The third guidemember 207 is located approximately 60 to 130 degrees from each of thefirst and second guide members 205, 206.

Mounted on the shaft 204 are a plurality of members, three of which areshown in FIGS. 6 as 208, 209 and 210 respectively. The members 208 to210 will hereafter be referred to as test disc members. Each of the testdisc members 208 to 210 is substantially the same.

One test disc member 208 is shown in some detail in FIG. 7. The testdisc member 208 has a generally circular shape, although on one side anotch 301 is formed and on another side a cutaway portion 302 isprovided. The cutaway portion constitutes a milking portion, and will bedescribed in more detail below.

The test disc member 208 includes an uppermost surface 303, a lowermostsurface 304, which is shown in FIG. 8, and a disc edge 305. The diameterof the test disc member 208 is between 15 and 25 millimetres, forinstance 20 millimetres. The thickness of the disc, which is equal tothe height of the disc edge 305, is between 0.5 millimetres and 1millimetre. FIG. 8 shows the test disc member 208 from the underside. Assuch, the lower surface 304 is visible and the upper surface 303 is notvisible. The test disc member 208 will now be described with referenceto FIGS. 7 and 8.

A hole 306 is formed at the centre of the test disc member 208. The hole306 comprises two main parts. A circular part is centred on the testdisc member 208 and has a diameter equal to or slightly larger than theexternal diameter of the shaft 204. A drive notch 307 abuts the circularpart of the hole 306 and includes edges that are able to be engaged by adrive dog.

A drive dog 320(visible in part in FIG. 9 and more fully in FIG. 10) isformed on the shaft 204. The drive dog 320 is engaged with the drivenotch 307 in the hole 306 of the test disc member 208. This engagementallows rotation of the shaft 204 to result in rotation of the test discmember 208.

On the underside of the test disc member 208 is provided a spacer member308. The spacer member 308 comprises a slice of a hollow cylinder. Thecylinder is centred on the centre of the test disc member 208. The innerdiameter of the spacer member 308 is selected such that the hole 306does not overlap with the spacer member 308. The outer diameter of thespacer member 308 is only slightly greater than the inner diameter, sothe spacer member 308 has little thickness. The height of the spacermember 308 is between 0.5 and 1 millimetre. When plural test discmembers are stacked together, the spacer member 308 provides separationbetween the upper surface 303 of one test disc member and the lowersurface 304 of the test disc member that is directly above it. Theseparation is determined by the height of the spacer member 308.

Referring again to FIG. 7, a lancet 309 is shown protruding from thedisc edge 305. The lancet 309 is provided in the cutaway portion 302. Afirst end of the lancet 309 is embedded within the material of the testdisc member 208, and a second end is provided with a sharp point andextends outwardly. The lancet 309 extends at an angle between 30 and 60degrees from a radius line of the test disc member 208 at the positionwhere the end of the lancet 309 is embedded in the test disc member. Thesecond end of the lancet 309 is located at or just outside acircumference 311 of the test disc member 208. The circumference 311 isshown as a dotted line in FIG. 7 because it is virtual, instead oftangible. The lancet 309 extends from the disc edge 305 at a firstposition 312 on the disc edge. The first position 312 is close to asecond position 313 at which the cutaway portion 302 starts. The cutawayportion 302 ends at a third position 314. Between the second and thirdpositions 313, 314 opposite to the cutaway portion 302, the disc edge305 generally takes the form of a circle, although the notch 301interrupts that circle.

Located next to the third position 314 is a blood collection part 315.This may take any suitable form. For instance, it may comprise alaminated material. The blood collection part 315 has the function ofdrawing blood that is in contact with the disc edge 305 at the thirdposition into the test disc member 208 to an blood analyte measuringpart 316, that adjoins the blood collection part 315, for example a partcontaining an enzyme for blood glucose measuring, or the like. Blood maybe drawn through capillary action. The analyte measuring part 316includes an enzyme that reacts chemically with blood in such a way thatblood glucose level can be measured. The analyte measuring part 316 isconnected to first to third contact pads 318 by first to thirdconductive tracks 317. The contact pads 318 and the conductive tracks317 are formed on the upper surface 303 of the test disc member 208. Theanalyte measuring part 316 also is formed on the upper surface 303 ofthe test disc member 208. Some or all of the conductive tracks 317, thecontact pads 318 and the analyte measuring part 316 may be printed ontothe upper surface 303 of the test disc member 208.

As will be described in detail below, in use a part of a user is firstlypierced by the lancet 309, the part is then milked by the disc edge 305at the cutaway portion 302, and blood then is provided to the analytemeasuring part 316 through the blood collecting part 315. A measuringcircuit connected to the analyte measuring part 316 by way of theconductive tracks 317 and the contact pads 318 then is able to determinea blood glucose level of the user. The level then is displayed on thedisplay 104.

Operation will now be described with reference to the figures.

As shown in FIG. 6, the test disc members 208 to 210 commence at thesame orientation. Here, the first test disc member 208 is uppermost. Thethird guide member 207 is located in the notch 301 of the lowermost testdisc members 209, 210. The notch 301 of the first test disc member 208is aligned with the third guide member 207, but is not constrainedthereby. The upper surface 303 of the uppermost test disc member 208 isin contact with a lowermost surface of the first guide member 205. Thelowermost surface of the second guide member 206 is at the same level asthe lowermost end of the first guide member 205. However, the secondguide member 206 coincides with part of the cutaway portion 302 of thefirst test disc member 208 at the orientation of the test disc member208 shown in FIG. 6. As such, there is no contact between the secondguide member 206 and the first test disc member 208 when the first testdisc member is in this position. The test disc members 208 to 210 arebiased in an upwards direction by bias means (not shown), which may be aspring. However, the test disc members 208 to 210 are prevented frommoving upwards within the cartridge 106 by virtue of the contact betweenthe upper surface 303 of the first test member 208 and the lowermost endof the first guide member 205.

At the position shown in FIG. 6, the distal end of the lancet 309 is notco-located with the aperture 105. As such, the lancet 309 is in thisposition not operational. Put another way, the lancet 309 at thisposition is shielded by the hollow cylindrical part 203, whichconstitutes part of the housing.

From the position shown in FIG. 6, the shaft 204 is caused to rotate ina clockwise direction by action of the drive wheel 201 and drive belt202. The drive dog 320 is engaged with the drive notch 307 in the hole306 of the test disc member 208, and so allows rotation of the shaft 204to result in rotation of the test disc member 208. Rotation brings thelancet 309 in front of the aperture 105. As such, a skin-covered part ofa user (hereafter the part will be referred to as a user's digit, forthe sake of convenience) is lanced by the lancet 309. This produces apuncture in the skin of the digit, through which blood can escape. FIG.9 shows the first test disc member 208 rotated to the position where thelancet 309 is operable to lance the user's digit. The shaft 204 iscaused to rotate only by a predetermined amount, the maximum extent oftravel of the lancet 309 is controlled. The penetration of the lancet309 in the user's digit depends on a number of factors, as will beappreciated by the person skilled in the art. The amount of rotation,and thus the depth of penetration, may be definable by a user. Thepenetration depth specified by a user may be achieved through softwareor firmware control of rotation of the shaft 204. The penetration depthmay be defined by the user for example using one or more of the first,second and third inputs 101 to 103. For instance, the first and secondinputs 101, 102 may be increase and decrease respectively, with thethird input 103 being a select or confirm input. The value defining thedepth may be stored in memory. Subsequently, the shaft 204 is controlledto rotate in an anticlockwise direction. This causes the lancet 309 tobe removed from the user's digit, and for the disc edge 305 at thecutaway portion 302 to rub the user's digit as the test disc member 208rotates. At a point in the rotation of the test disc member 208, thelowermost part of the second guide member 206 ceases to coincide withthe cutaway portion 302 and so is able to exert a reaction force on theupper surface 303 of the test disc member 208. A short time thereafter,the lowermost part of the first guide member 205 becomes coincident withthe cutaway portion 302, and ceases to contact the upper surface 303 ofthe test disc member 208. At this point, it is the second guide member206 that prevents the first test disc member 208 moving upwards withinthe cartridge 206.

The test disc member 208 continues to rotate until the blood collectionpart 315 is aligned with the aperture 105. Here, rotation ceases. Atthis location, blood that has been caused to be expelled from the user'sdigit by the lancet 309 and by action of the disc edge 305 on the user'sdigit is caused to be drawn to the analyte measuring part 316 bycapillary action. The blood and the enzyme then react.

At a suitable time, the shaft 204 is caused to be rotated further in ananticlockwise direction. Here, the test disc member 208 is caused to berotated from the position shown in FIG. 10, in which the bloodcollection part 315 is coincident with the aperture 105, to the positionshown in FIG. 11. Here, the notch 301 is aligned with the second guidemember 206. Because at this location the first guide member 205 iscoincident with the cutaway portion 302 of the test disc member 208,neither of the first or second guide members 205, 206 prevents upwardsmovement of the first test disc member 208. As such, the first to thirddisc members 208 to 210 are moved upwards by virtue of the bias means(not shown).

When the first test disc member 208 moves upwards, between FIGS. 11 and12, the drive dog 320 ceases to cooperate with the drive notch 307 ofthe hole 306 of the first test disc member 208. Before the first testdisc member 208 reaches the position shown in FIG. 12, a lower surfaceof the drive dog 320 contacts the upper surface 303 of the second testdisc member 209. This prevents further upward movement of the secondtest disc member 209, and thus prevents further movement of the testdisc member 210. At this position, the shaft 204 is caused to be rotatedby the drive wheel 201 and the drive belt 202 such that the drive dog320 is coincident with the drive notch 307 of the second test discmember 209. At this location, the second disc member 209 is able to moveupwards on the shaft 204, thereby engaging the drive dog 320 with thedrive notch 307 of the second test disc member 209. After the secondtest disc member 209 has moved upward by a distance equal to the heightof the spacer member 308, further upwards movement of the second testdisc member 209 is prevented by contact between the first guide member205 and the upper surface 303 of the second test disc member 209. Atthis point, which is shown in FIG. 12, the second guide member 206 islocated within the notch 301 of the first test disc member 208. Thisprevents further rotation of the first test disc member 208 within thecartridge 106.

By virtue of movement up the cartridge 106 of the first to third testdisc members 208 to 210, the third guide member 207 ceases to be withinthe notch 301 of the second test disc member 209. At this stage, thethird guide member 207 does not prevent rotational movement of thesecond disc member 209.

At the position shown in FIG. 12, the second test disc member 209 is inexactly the same position as was the first test disc member 208 at theposition shown in FIG. 6. Furthermore, the shaft 204, and thus the drivedog 320, has the same orientation. As such, the second test disc member209 is able to be used to elicit a blood sample from a user and test theglucose level thereof in the same way as was the first test disc member208.

By providing a stack of test disc members 208 to 210 within thecartridge 106 and by providing a suitable physical arrangement, acartridge 106 can be used for multiple tests. When the cartridge 106 isnew, the test disc members 208 to 210 are located in the bottom half ofthe cartridge 106, with the uppermost test disc member being alignedwith the aperture 105. As test disc members are used, the stack of testdisc members moves upwards in the cartridge. When the last test discmember is used, the cartridge can be said to be spent. At this stage,all of the test disc members are located in the uppermost portion of thecartridge 106.

It will be appreciated that the number of test disc members 208 to 210that can be accommodated within the cartridge 106, and thus the numberof tests that can be provided by a cartridge 106, is a factor of theheight of the cartridge 106, and the separation between correspondingparts (e.g. the upper surfaces) of adjacent test disc members 208 to210. A taller cartridge and/or a reduced separation of test disc membersincreases the number of tests that can be performed using a singlecartridge 106.

Reference will now be made to FIGS. 13 to 15, which illustrateconnection of the analyte measuring part 316 to measurement circuitry(not shown).

Referring firstly to FIG. 13, the hollow cylindrical housing part 203 isshown with the aperture 105 and the shaft 204 located as describedabove. A slit aperture 400 is provided in the hollow cylindrical housingpart 203. The slit aperture 400 is located at substantially the sameheight as the aperture 105. However, the slit aperture 400 is located ona side of the hollow cylindrical housing part 203 that is substantiallyopposite the aperture 105.

The slit aperture 400 does not coincide with the elongate aperture 110that is formed at the front side of the BGM 100. As such, the slitaperture 400 is not visible when the cartridge 106 is in place withinthe BGM 100.

FIG. 14 is the same view as shown in FIG. 13 although the hollowcylindrical housing part 203 is omitted.

Adjacent to the slit aperture 400 is located a swing arm 401. The swingarm 401 is rotatable about a spindle 402, as shown in FIG. 15. Thespindle 402 has an axis that is parallel to the axis of the shaft 204.The axis of the spindle 402 is located above the drive belt 202. Aconnecting arm 403 connects the spindle 402 to the swing arm 401. Inthis example, the connecting arm 403 is connected to the swing arm 401by a vertical connector 404. The vertical connector 404 allows thespindle 402 on which the connecting arm 403 is mounted to be located ata different vertical position to the swing arm 401. The spindle 402, theconnecting arm 403 and the vertical connector 404 are arranged such thatwhen the connecting arm is rotated on the axis of the spindle 402 theswing arm 401 is moved towards the shaft. The movement of the swing arm401 is substantially radial with respect to the shaft 204.

Mounted on the swing arm 401 are first to third electrical contactterminals 405. Each includes a generally horizontal arm 405 a and adepending contact head 405 b. The electrical contact terminals 405 aremade of a resilient conductive material, for instance metal. Thedepending contact heads 405 b are angled at their ends furthest from theswing arm 401.

In one position, shown in FIGS. 13 and 14, the electrical contactterminals 405 are supported by the swing arm 401 such that the dependentcontact heads 405 b are located within the slit aperture 400 oralternatively outside of the hollow cylindrical housing part 203. Whenthe test disc member 208 is rotated such that the blood collection part315 is coincident with the aperture 105, as shown in FIG. 14, thecontact pads 318 are coincident/aligned with the slit aperture 400. Asthe test disc member 208 is held in this position, the connecting arm403 is caused to rotate around the axis of the spindle 402 such that theswing arm 401 moves towards the shaft 204. The arrangement is such thatthe depending contact heads 405 b of the electrical contact terminals405, but not the horizontal arms 405 a, come into contact with thecontact pads 318 as the electrical contact terminals 405 move into thevolume above the upper surface 303 of the test disc member 208. Theresilient properties of the electrical contact terminals 405 causes theelectrical contact terminals to be forced against the contact pads 318.As such, an electrical connection is provided between the horizontalarms 405 a of the electrical contact terminals 405 and the analytemeasuring part 316. Electronic measuring means (not shown) connected tothe electrical contact terminals 405 operate to pass a voltage throughthe contact terminals 405 and the analyte measuring part 316 and to takemeasurements of electrical parameters, from which a measurement of ananalyte concentration level, for example a blood glucose level, can bedetermined.

The connecting arm 403 is controlled to remain in a position shown inFIG. 15 for a predetermined time or alternatively until it is detectedthat a blood glucose level measurement has been made, after which theconnecting arm 403 is caused to rotate around the shaft 402 so as toremove the electrical contact terminals 405 from the position above theupper surface of the test disc member 208. At this stage, thearrangement is as shown in FIG. 14. Once the electrical contactterminals 405 have been retracted, the test disc member 208 is rotatedanticlockwise so as to allow the test disc members 208 to 210 to moveupwards on the shaft 204.

Alternatively or additionally, each of the conductive contacts 318 maybe generally concentric with the shaft 402 for at least a part of theirlength. This can allow the plural terminals 405 to remain in contactwith their respective conductive contacts 318 while the member rotates.Thus, for instance, the test disc member 208 could be rotated away fromthe position in which the blood analysis part is exposed to collect ablood sample whilst allowing the plural terminals 405 to remain inelectrical contact with the blood analysis part.

It will be appreciated that the maximum permissible height dimension ofthe electrical contact terminals 405 is determined by the height of thespacer member 308. A thicker spacer member allows larger electricalcontact terminals 405 to be used. However, this is at the expense of anincrease in separation between adjacent test disc members 208 to 210,and thus a reduced capacity for the cartridge 106. The use of electricalcontact terminals 405 including a horizontal arm 405 a and a dependingcontact head 405 b allows the height dimension of the electrical contactterminals to be minimised whilst allowing good electrical contactbetween the electrical contact terminals and the contact pads 318 andalso allowing the electrical contact terminals 405 to operate correctlyover a sufficient number of cycles.

Referring now to FIGS. 16 to 21, an alternative arrangement is shownwith a novel lancing technique.

As shown in FIG. 16, the hollow cylindrical housing part 203 is providedwith the aperture 105 and the slit aperture 400. The shaft 204 issupported centrally within the hollow cylindrical housing part 203 ofthe cartridge 106. However, the diameter of the shaft is less than inthe embodiments described above.

A plunger arrangement 500 comprising a plunging arm 501 and a plunginghead 502 is provided adjacent a plunging aperture (not shown) in thehollow cylindrical housing part 203. The plunging aperture (not shown)is located next to the slit aperture 400. The plunging aperture (notshown) is located directly opposite to the aperture 105. The plungeraperture and the slit aperture 400 may be combined to form a singleaperture. The plunger aperture is configured to allow the plunging head502 to be forced by the plunging arm 501 to a position internal to thehollow cylindrical housing part 203.

Within the cartridge 106 are plural test disc members, one of which isshown as 505 in FIG. 17. Here, reference numerals are retained fromearlier described figures for like elements.

A lancet 506 is provided extending from the disc edge 305 in the cutawayportion 302. In particular, the lancet 506 extends in a radial directionwith respect to the centre of the test disc member 505. The lancet 506extends from a fourth position 507, which is near to the second position313. The fourth position 507 is further from the second position 313than is the corresponding first position 312 in the embodimentsdescribed above. However, because the lancet 506 is radial with respectto test disc member 505, a distal end 506A of the lancet 506, i.e. theend that is furthest from the centre of the test disc member 505, is atapproximately the same position as the corresponding end of the lancet309.

The majority of the test disc member 505 is substantially rigid.However, an annular centre portion 508 is comprised of an elasticallydeformable material. In particular, the annular centre position 508 isdeformable in the presence of an externally applied force. This meansthat the test disc member 505 can be displaced relative to the shaft204, as will be described in more detail below. The material used toform the annular centre portion 508 may take any suitable form, and forinstance may be a rubberised plastic.

In FIG. 18, the hollow cylindrical housing part 203 is omitted from thefigure. In FIG. 18, the test disc member 505 is shown as having beenrotated to a position at which the lancet 506 is coincident with theaperture 105. It can be seen that the plunging head 502 is aligned withthe test disc member 505 such that movement of the plunger arrangement500 along the longitudinal axis of the plunging arm 501 causes theplunging head to contact the test disc member 505 and apply force to it.Since the longitudinal axis of the plunging arm 501 is radial withrespect to the shaft 204, the force applied by the plunger arrangementis directed towards the shaft 204.

In FIG. 19, the arrangement is shown after a force has been applied tothe plunger arrangement 500 so as to displace it by a predeterminedamount. Here, the plunging head 502 has contacted the test disc member505 on the opposite side of the test disc member to the lancet 506. Theannular centre portion 508 has become compressed on the side closest tothe plunger arrangement 500 such as to allow the whole of the test discmember 505 to be displaced in the direction of the force supplied by theplunger arrangement 500. The test disc member 505 remains horizontal byvirtue of the spacer members 308.

Displacement of the test disc member 505 in the direction of the forcesupplied by the plunger arrangement 500 has resulted in displacement ofthe lancet 506 in a radial direction away from the shaft 204. In thisposition, the lancet 506 penetrates the skin of the user's digit.Removal of the force by the plunger arrangement 500 allows the annularcentre portion 508 to return to its original form, through elasticreformation. After the plunger arrangement 500 has been fully retracted,the arrangement again has the form shown in FIG. 18. Here, the test discmember 505 is in its original position and the lancet 506 is retractedfrom the user's digit. It will be appreciated that it is the elasticityof the annular centre portion 508 of the test disc member 505 thatallows the test disc member 505 to return to this position once theforce applied through the plunger arrangement 500 is removed.

After removal of the force supplied by the plunger arrangement 500, thetest disc member 505 can be rotated by the drive wheel 201 and the drivebelt 202 so as to provide milking of the user's digit and thencollection of blood at the blood collection part 315, which position isshown in FIG. 20. After a measurement of blood glucose level is taken,the test disc member 505 is rotated further anticlockwise so that thesecond guide member 206 is aligned with the notch 301, and thus the testdisc member 505 is allowed to move upwards within the cartridge 106. Asa result, the test disc member 509 that is immediately below the firsttest disc member 505 also moves upwards within the cartridge 106 and isprovided to be coincident with the aperture 105, the slit aperture 400and the plunger aperture (not shown). Subsequent application of aplunging force by the plunger arrangement 500 causes a lancet 506 of thesecond test disc member 509 to be forced out of the aperture 105, as isshown in FIG. 21. The process can be repeated for other test discmembers included in the cartridge 106.

An advantage of the arrangement shown in FIGS. 16 to 21 is that arotational arrangement can be used whilst allowing the lancet 506 topenetrate a user's skin in a longitudinal direction with respect to thelancet 506. Another advantage is that puncture can occur at any desiredlocation, for instance on the end of the user's digit, instead ofpuncturing occurring slightly on the side of the end of the digit.

Another advantage is that the arrangement can allow the penetrationdepth of the lancet 506 to be easily predictable.

Furthermore, it allows the penetration or puncturing depth to beadjustable. In particular, the adjustment of the penetration depth canbe achieved by a mechanical arrangement that limits movement of theplunger arrangement towards the shaft 204. Alternatively, it can beachieved in an electro-mechanical manner by measuring the location ordisplacement of some part of the mechanism and ceasing applying anenergising voltage to a solenoid or other transducer that is used toaffect movement of the plunger arrangement 500. Penetration depthcontrol is important to many users since lancet penetration usually ispainful and since penetration depth control allows users some controlover their experience.

An alternative form of test disc member 600 is shown in FIG. 22.Reference numerals are retained from above-described embodiments forlike elements.

The test disc member 600 differs from the test disc member 208 shown inFIG. 7 primarily by use of a curved lancet 601. The curved lancet 601protrudes from the disc edge 305 at a position 602 that is relativelyclose to a second position 313 at which the cutaway portion 302commences.

At the part of the curved lancet 601 that is adjacent the disc edge 305,the longitudinal axis of the curved lancet 601 is at an angle X withrespect to a straight line drawn between the junction between the curvedlancet 601 and the disc edge 305 and the centre of the shaft 204. Thecurve of the curved lancet 601 is such that the longitudinal axis of thecurved lancet at the end distant from the disc edge 305 is at an anglegreater than the angle X with respect to the line drawn between thejunction between the curved lancet 601 and the disc edge 305 and thecentre of the shaft 204. The effect is that the curved lancet 601 ismore aligned with the circumference of the test disc member 600 at itsdistal end than it is at the end that adjoins the disc edge 305. Thishas the positive effect that when the lancet penetrates a user's digit,or other body part, due to rotation of the test disc member 600, thepath taken by the lancet as it penetrates the user's digit more closelymatches the shape and orientation of the lancet than is experienced in acorresponding arrangement with a straight lancet.

This effect is enhanced with the lancet 601 since the cylindrical formof the lancet 601 is terminated at the distal end by an oblique cut. Inparticular, the distal end of the curved lancet 601 resembles a cylinderthat has been cut at an angle that is not perpendicular to thelongitudinal axis of the cylinder. As such, the end face of the curvedlancet 601 has the shape of an ellipse. The ellipse has a semi-majoraxis and a semi-minor axis and the point that is at the end of thesemi-major axis that is furthest from the disc edge 305 forms a point.The cut is made through the lancet 601 such that the point is formedextending in a direction that is substantially circumferential withrespect to the test disc member 600.

The configuration of the test disc members 208 to 210, 505, 600 is suchthat operation results in milking of the puncture in the user's digitcaused by the lancet 309. In particular, the aperture 105 is configuredsuch as to allow an amount of the flesh making up the end of the user'sdigit to be present within the internal volume of the cylindrical part203 when the user presses the digit up against the aperture 105. Whenthe user applies force into the aperture 105 with the digit, the digitdistorts and a bulbous part is provided within the internal diameter ofthe hollow cylindrical housing part 203. The size of the bulbous part,and in particular the height of the bulbous part, depends on a number offactors, including the physical characteristics of the user's digit andthe amount of force that the user applies, as well as the configurationof the aperture 105.

The aperture 105 is dimensioned such that in normal use (i.e. with atypical user applying a typical amount of force) a bulbous part of theuser's digit extends into the internal volume of the hollow cylindricalhousing part 203 to a depth of approximately 1 millimetre. The test discmembers 208 to 210, 505, 600 are configured to have a cutaway portion302 that is shaped such that when the lancet 309 is at a position atwhich it can lance the user's digit, the disc edge 305 is not in contactwith the user's digit (i.e. the separation between the disc edge 305 andthe aperture 105 is greater than 1 mm). This part of the cutaway portion302 can be termed a first milking portion. At this position, thepressure exerted by the user results in the fluid pressure within thebulbous part of their digit being slightly greater than normal pressure.The increased pressure results from the force the user applies to theirdigit. This pressure encourages bleeding of the puncture that is causedby the lancet 309. Advantageously, the arrangement of the relevantfeatures is such that the lancet 309 penetrates the user's digit to adepth of between 0.4 and 0.7 millimetres.

As the test disc member 208 to 210, 505, 600 then rotates anticlockwise,the lancet 309 is removed from the user's digit. A short timethereafter, the end of the bulbous part of the user's digit comes intocontact with the disc edge 305 at a position approximately one-third totwo-fifths of the way along the cut out portion 203. This part can betermed the second milking portion. The test disc member 208 to 210, 505,600 has a substantially constant radius for the second milking portion,which extends to a position approximately two-thirds or four-fifths ofthe way along the cutaway portion 302. For the time at which the secondmilking portion is coincident with the bulbous part of the user's digitas the test disc member 208 to 210, 505 rotates, the internal pressureof the bulbous part of the user's digit is increased compared to thetime at which the user's digit was in contact with the lancet 309.Furthermore, as the disc edge 305 moves into contact with and over thebulbous part of the digit, blood under the skin is caused to be pushedtowards the puncture caused by the lancet.

Between the second milking part and the location of the blood collectionpart 315, the radius of the test disc member 208 to 210, 505, 600 isreduced, or put another way has a lower value. This portion can betermed a third milking portion. As such, after the second milkingportion and before the user's digit contacts the blood collection part315, the pressure applied to the bulbous part of the user's digit by thedisc edge 305 is reduced compared to the pressure applied at the secondmilking portion. Advantageously, the radius of the test disc member 208to 210, 505, 600 at the third milking portion is selected such that thebulbous part of the user's digit does not contact the disc edge 305(i.e. the separation between the disc edge 305 and the aperture 105 isgreater than 1 mm). Whilst the third milking portion is coincident withthe user's digit as the test disc member 208 to 210, 505, 600 rotates,blood is free to exit the puncture made by the lancet 309. As the testdisc member 208 to 210, 505, 600 continues to rotate, the disc edge 305again contacts the bulbous part of the user's digit at a location justbefore the blood collection part 315. This again increases the internalpressure within the bulbous part of the user's digit. This encouragesthe movement of blood towards the analyte measuring part 316. Theseparation between the disc edge 305 at the location of the bloodcollection part 315 and the aperture 105 is approximately 0.5 mm.

The configuration of the test disc members 208 to 210, 505, 600 thusencourages milking of a sample of blood from the user's digit. Thesequence is as follows: Firstly, lancing by the lancet 309 with arelatively low pressure (caused by no contact with the disc edge 305 andthe user's digit), followed by a period for which relatively low amountof pressure, as well as a rubbing movement, is provided by the secondmilking portion to the user's digit, followed by a period for whichlittle or no pressure is provided by the disc edge 305 against theuser's digit, followed by a relatively high pressure provided by thedisc edge 305 against the user's digit just before and at the bloodcollection part 315.

Operation of the blood glucose meter 100 will now be described withreference to the flowchart of FIG. 23. Operation starts at step S1. Atstep S2, the user locates their digit in the aperture 105. As mentionedabove, the user forces their digit into the aperture 105 with a pressureor force that is suitable to allow lancing and blood collection. At stepS3, the user initiates blood glucose measurement. This involves the userpressing one of the inputs 101 to 103. This is detected by themicroprocessor 212 by way of the keys interface 215. Thesoftware/firmware stored in the ROM 214 uses the key input to call afunction or to execute a software module. The software/firmware storedin the ROM 214 then causes the microprocessor 212 to issue a command toa motor attached to the drive wheel 201 through the motor interface 217to rotate the shaft 204 in a clockwise direction. The software/firmwarecontrols the extent of the rotation. At step S4, the amount of rotationis sufficient to lance the user's digit with the lancet 309. Thesoftware/firmware stored in the ROM 214 then causes the microprocessor212 to control the motor to rotate the shaft 204 in the oppositedirection, at step S5. As the test disc member rotates anticlockwise,milking occurs at step S6. Firstly, at step S6A, there is no pressureapplied by the test disc member on the digit. At step S6B, there is amedium amount of pressure on the digit. At step S6C, there is low or nopressure applied by the test disc member on the digit. At this point,the digit coincides with the part of the test disc member that isimmediately before the blood collection part 315.

At step S7, the software/firmware causes the microprocessor 212 tocontrol the motor to cease rotation when the shaft 214 is such that theblood collection part 315 is coincident with the aperture 105, and thusthe user's digit. At step S8, the software/firmware controls a motorsuch as to cause the swing arm 401 to be rotated towards the shaft 204.The software/firmware stored in the ROM 214 is such that themicroprocessor 212 causes only the required amount of travel of theswing arm 401. At this point, the analyte interface circuit 219 iscoupled directly to the blood analyte measuring part 316, which byaction of the blood collection part 315 has been provided with bloodfrom the user's digit. At step S9, analyte measurement is performed.This involves the analyte interface circuit 219 providing voltages tothe electrical connection contacts 318, and thus to the blood analytemeasuring part 316, and measuring parameters of resulting signals. Themeasured parameters, particularly voltage parameters, are used by thesoftware/firmware stored in the ROM 214, as executed by the processor212, to calculate a blood glucose measurement level of the user. Theblood glucose measurement is then caused by the software/firmware to bedisplayed on the display 104 through action of the microprocessor 212 onthe display drive 216. At step S10, the swing arm is caused to beremoved by action of the microprocessor 212, under control of thesoftware stored in the ROM 214, the motor interface 217 and the motor(not shown).

At step S11, the software/firmware results in the microprocessor 212controlling the drive disc 201 to rotate anticlockwise. Rotationcontinues until the notch 301 on the test disc member is coincident withthe guide 206. At step S12, the test disc member rises up the cartridge106. In the case where biasing of the test discs up the cartridge 106 isprovided by a bias means, for instance a spring, step S12 requires noaction on part of the software/firmware and microprocessor 212, althoughthere may be a pause before the next step. In embodiments where movementof the test disc members along the shaft 204 occurs through drivingaction, step S12 involves the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, controlling a motor through themotor interface 217. Subsequently, at step S13, the microprocessor 212,under control of the software/firmware stored in the ROM 214, causes theshaft 204 to rotate again in a clockwise direction and to cease rotatingwhen the drive dog 320 engages with the drive slot 307 of the next testdisc member in the cartridge 106. At this stage, the test disc membersrise up the cartridge 106 slightly.

The operation ends at step S14.

FIG. 24 illustrates operation of the blood glucose meter 100 asdescribed with reference to FIGS. 16 to 21.

Operation starts at step T1. At step T2, the user locates their digit inthe aperture 105. As mentioned above, the user forces their digit intothe aperture 105 with a pressure or force that is suitable to allowlancing and blood collection. At step T3, the user initiates bloodglucose measurement. This involves the user pressing one of the inputs101 to 103. This is detected by the microprocessor 212 by way of thekeys interface 215. The software/firmware stored in the ROM 214 uses thekey input to call a function or to execute a software module. Thesoftware/firmware stored in the ROM 214 then causes the microprocessor212 to issue a command to a motor attached to the drive wheel 201through the motor interface 217 to rotate the shaft 204 in a clockwisedirection. The software/firmware controls the extent of the rotation.

Following step T3, the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, causes the shaft 204 to berotated by a motor through the motor interface 217 and to cease rotationonce the lancet 508 is aligned with the aperture 105, and thus isaligned with the user's digit, at step T4A. At step T4B, themicroprocessor 212, under control of the software/firmware stored in theROM 214, causes actuation of the plunger arrangement 500, through themotor interface 217. The control of the actuation of the plunger is suchas to limit the extent of movement of the lancet 508 to a predeterminedextent. The predetermined extent is set by a user through operation ofthe keys 102, 103 prior to the blood glucose measurement. In effect, theuser can use the keys 102, 103 to set a lancing depth, which is storedin a suitable way in the ROM 214 by action of the microprocessor 212,operating under control of the software/firmware stored in the ROM 214.

When the maximum extent of plunger actuation has been reached at stepT4B, at step T4C the plunger arrangement 500 is deactuated by themicroprocessor 212, under control of the software/firmware stored in theROM 214, and lancing ceases. At this step, the test disc member returnsto its original position by action of the elasticity of the annularcentre portion 508 of the test disc member 508.

Although in the figures, an in particular in FIG. 7, three conductivetracks 317 and three conductive pads 318 are shown, it will beappreciated that this is merely illustrative. There may instead be onlytwo conductive tracks 317 and two conductive pads 318, or alternativelythere may be more than three conductive tracks and conductive pads.

The software/firmware stored in the ROM 214 then causes themicroprocessor 212 to control the motor to rotate the shaft 204 in theopposite direction, at step T5. As the test disc member rotatesanticlockwise, milking occurs at step T6. Firstly, at step T6A, there isno pressure applied by the test disc member on the digit. At step T6B,there is a medium amount of pressure on the digit. At step T6C, there islow or no pressure applied by the test disc member on the digit. At thispoint, the digit coincides with the part of the test disc member that isimmediately before the blood collection part 315.

At step T7, the software/firmware causes the microprocessor 212 tocontrol the motor to cease rotation when the shaft 214 is such that theblood collection part 315 is coincident with the aperture 105, and thusthe user's digit. At step T8, the software/firmware controls a motorsuch as to cause the swing arm 401 to be rotated towards the shaft 204.The software/firmware stored in the ROM 214 is such that themicroprocessor 212 causes only the required amount of travel of theswing arm 401. At this point, the analyte interface circuit 219 iscoupled directly to the blood analyte measuring part 316, which byaction of the blood collection part 315 has been provided with bloodfrom the user's digit. At step T9, analyte measurement is performed.This involves the analyte interface circuit 219 providing voltages tothe electrical connection contacts 318, and thus to the blood analytemeasuring part 316, and measuring parameters of resulting signals. Themeasured parameters, particularly voltage parameters, are used by thesoftware/firmware stored in the ROM 214, as executed by the processor212, to calculate a blood glucose measurement level of the user. Theblood glucose measurement is then caused by the software/firmware to bedisplayed on the display 104 through action of the microprocessor 212 onthe display drive 216. At step T10, the swing arm is caused to beremoved by action of the microprocessor 212, under control of thesoftware stored in the ROM 214, the motor interface 217 and the motor(not shown).

At step T11, the software/firmware results in the microprocessor 212controlling the drive disc 201 to rotate anticlockwise. Rotationcontinues until the notch 301 on the test disc member is coincident withthe guide 206. At step T12, the test disc member rises up the cartridge106. In the case where biasing of the test discs up the cartridge 106 isprovided by a bias means, for instance a spring, step T12 requires noaction on part of the software/firmware and microprocessor 212, althoughthere may be a pause before the next step. In embodiments where movementof the test disc members along the shaft 204 occurs through drivingaction, step T12 involves the microprocessor 212, under control of thesoftware/firmware stored in the ROM 214, controlling a motor through themotor interface 217. Subsequently, at step T13, the microprocessor 212,under control of the software/firmware stored in the ROM 214, causes theshaft 204 to rotate again in a clockwise direction and to cease rotatingwhen the drive dog 320 engages with the drive slot 307 of the next testdisc member in the cartridge 106. At this stage, the test disc membersrise up the cartridge 106 slightly.

The operation ends at step T14.

Instead of the blood collection part 315 being located next to the thirdposition 314, i.e. bounding only the part of the disc edge 305 that ispurely circumferential, the blood collection part could instead belocated on the disc edge 305 at the junction between the cutaway portion302 and the circumferential portion. The blood collection part 315 inthis instance may extend for between 0.5 mm and 2 mm along the disc edge305 at the cutaway portion 302. The blood collection part 315 in thisinstance may also extend for between 0.5 mm and 2 mm along the disc edge305 at the circumferential part.

Alternatively or additionally, the analyte measuring part 316 may besandwiched between two layers of wicking material, the wicking materialcausing the blood to be drawn through the analyte measuring part 316.

Although in the above the shaft 204 is said to be driven by a drivewheel 201 that is coupled to the shaft 204 by a drive belt 202, thedrive may instead be direct (i.e. the drive mechanism is coupleddirectly to the shaft 204), or connection may be made by a notched belt,a vee belt, or by a direct gear mechanism. Instead of an electric motor,a clockwork drive could be used. A clockwork drive mechanism has anumber of advantages, particularly where access to batteries or batterychargers or electricity supplies are limited. In the embodiments inwhich a clockwork mechanism is used, the user can be sure that the BGM100 will not cease operating because of drained batteries. A clockworkmechanism may be particularly suited to developing countries andemerging markets.

In embodiments in which an electrical motor is used to drive the shaft204, preferably control is exerted over the motor by software. In thisway, the speed of rotation can easily be controlled. Additionally, theextent of rotation can more easily be controlled. The motor may be astepper motor.

Alternatively, a mechanical drive arrangement may be present, forinstance using a lever or other device for manual actuation. A suitablemechanism may be one similar to those previously used in SLR cameras.

The swing arm 401 may be actuated in any suitable way. For instance, itmay be driven by the same motor or mechanism as the shaft 204.Alternatively, it may be driven by a separate motor. In either case, therotation of the swing arm 404 may be affected by a cam mechanism, or bya pin and slot (track path) mechanism. In the event of an electric motorbeing used, the motor preferably is software driven. The motorpreferably is a stepper motor.

The mechanical arrangement may include a mechanism by which a biasmeans, for instance a mechanical compression spring, is biased and thenreleased in order to push the electrical contact terminals 405 intoplace. The terminals 405 can then be retracted by the swing arm 401using a rotating motion. The overall mechanism can be termed a latchtype trigger mechanism.

Instead of a swing arm 401 being used to rotate the electrical contactterminals 405 into place, the contact pads 318 may instead be located onthe disc edge 305, allowing the use of fixed electrical contactterminals 405. The electrical contact terminals may include a brush orother deformable feature such that the test disc members 208 to 210,505, 600 can move whilst in contact with the electrical contactterminals without damage occurring to any of the components. Similararrangements are used in brushed DC motors. In this case the electricalcontact terminals 405 could be flexible finger contacts that rest on theperiphery of the test disc members 208 to 210, 505, 600 in order tocontact the contact pads 308.

Alternatively, instead of a swing arm 401, a mechanism may be used toaffect longitudinal movement of the electrical contact terminals 405into place to contact the contact pads 318.

The conductive tracks 317 and the contact pads 318 may be formed byleadframe. Alternatively, overmoulding may be used. Alternatively,printed circuit board (PCB) printing may be used.

Optionally, each of the test disc members 209, 210, 505, 600 isseparated from adjacent test disc members by a membrane (not shown inthe drawings). In this case, the membrane preferably fits closely to theinternal surface of the hollow cylindrical housing part 203. An effectof the membrane is to reduce the possibility of disccross-contamination. Use of a membrane may allow the test disc members208 to 210, 505, 600 to have a reduced separation than would be the casewithout the use of a membrane.

In the above, the test disc members 208 to 210, 505, 600 are said to bebiased upwards by a bias means, for instance a compression spring.Alternative mechanisms for moving the test disc members 208 to 210, 505,600 up the cartridge may be used. For instance, a threaded lifting cammay be provided on the shaft 204 or alternatively on the interiorsurface of the hollow cylindrical housing part 203. Alternatively, thetest disc members 208 to 210, 505, 600 may remain stationary, with theaperture 105 and the drive dog 320 instead being moved along the axis ofthe cartridge 106. Movement of the aperture 105 may be achieved by theuse of a sliding door in an elongated slot. Movement of the door allowsa different strip to be revealed at the aperture 105.

Instead of the blood collection part 315 wicking blood towards theanalyte measuring part 316, blood may be communicated to the analytemeasuring part 316 instead through gravity.

Additionally, the test disc members 208 to 210, 505, 600 may include adisinfecting or cleaning portion that contacts the digit before lancing.This can reduce risk of infection of the wound and also can increaseaccuracy in particular by removing any glucose from the skin (as mayoccur after eating fruit etc.).

Additionally or alternatively, the test disc members 208 to 210, 505,600 may include a cleaning portion that is arranged to contact the digitsubsequent to the blood collection part 305. This can remove additionalblood from the finger, and may also serve to assist closure of thepuncture.

Referring now to FIGS. 25 to 27, an alternative arrangement is shownwith a novel lancing technique. Reference numerals are retained fromabove-described embodiments for like elements.

Part of an alternative blood glucose meter (BGM) 100 is shown in FIG.25. In this embodiment of the BGM, an opening 700 is formed in the frontface of the BGM 100. The elongate aperture 110 (refer to FIG. 1)described in the above embodiments of the BGM 100 is omitted such thatthe first housing part 107 extends across the front face of the BGM 100.The opening 700 is formed in the front face of the first housing part107. The first housing part 107 constitutes part of a housing. Theopening 700 is located at approximately half of the height of the BGM.The opening 700 is configured such as to be able to receive a part of auser's body, for the purpose of extracting a blood sample therefrom. Forinstance, the opening 700 may be dimensioned so as to receive an end ora side part of a finger or thumb, or may be dimensioned so as to receivea side of a user's hand or a pinch of skin from a user's arm. Theaperture may be rectangular in shape. Its edges may be bevelled, so asto guide a user's digit into a specific location.

The aperture 105 is provided in the side of the cartridge 106. Thecartridge has a generally cylindrical form, and is arranged verticallyin the BGM 100. The BGM 100 is arranged so that, when the cartridge 106is received in the first housing part 107, the aperture 105 provided inthe side of the cartridge 106 is aligned with opening 700. Therefore,when the opening 700 receives a part of a user's body, the part of theuser's body is disposed at the aperture 105.

Although in the present embodiment an opening is formed in the firsthousing part 107, and the aperture 105 provided in the side of thecartridge 106 is aligned with the opening 700, it will be appreciatedthat, in an alternative arrangement, the aperture 105 in the cartridge106 is configured such as to be able to receive a part of a user's body,and an elongate aperture is provided in the front face of the firsthousing part 107 as shown in FIG. 1 to provide access to the aperture105.

The cartridge 106 is received in the cavity in the first housing part107. When the cartridge 106 is fully removed from the cavity, areplacement cartridge can then be introduced in the opposite manner towhich the old cartridge 106 was removed. Once a removable lid part (asshown in FIG. 1) has been replaced, the cartridge 106 is retained inplace by the action of the first housing part 107 and the removable lidpart. The aperture 105 in the cartridge 106 is presented at the opening700 in the first housing part 107. The cartridge 106 and the cavitywhich receives the cartridge have a keying feature, such as a protrusionand a groove, a non circular diameter, or the like, to align the opening700 with the aperture 105. Thus, when the cartridge 106 is fullyinserted, the opening 700 aligns with the aperture 105.

In FIGS. 25 to 27, the cartridge 106 is shown as having a hollowcylindrical housing part 203, which constitutes part of a housing. Theaperture 105 is formed in the hollow cylindrical housing part 203.Coaxial with the hollow cylindrical part 203 is the elongate shaft 204.A plurality of test disc members 701 are mounted on the shaft 204,although only one is visible in FIGS. 25 to 27. Each of the test discmembers 701 is substantially the same. The test disc member 701 has agenerally circular shape, although on one side a protrusion 702 isprovided. The protrusion 702 constitutes a milking portion, and will bedescribed in more detail below.

The test disc member 701 includes an uppermost surface 703, a lowermostsurface (not visible in FIGS. 25 to 27), and a disc edge 704. The testdisc member has generally the same dimensions as the test disc membersdescribed above. A hole 705 is formed at the centre of the test discmember 701. The hole 705 comprises a circular part centred on the testdisc member 701 and has a diameter equal to or slightly larger than theexternal diameter of the shaft 204, and a drive notch 706 which abutsthe circular part of the hole 705 and includes edges that are able to beengaged by a drive dog on the shaft 204.

The drive dog 320 is formed on the shaft 204. The drive dog 320 isengaged with the drive notch 706 of the test disc member 701. Thisengagement allows rotation of the shaft 204 to result in rotation of thetest disc member 701. The test disc member 701 is spaced from anadjacent test disc member by a spacer member on the underside of eachtest disc member 701. The rotation and movement of the test disc members701 is achieved by generally the same operation as described in theabove embodiments.

A blood collection part 707 is disposed on the protrusion 702. The bloodcollection part 707 is similar to the blood collection part described inthe above embodiments. In the present embodiment the blood collectionpart 707 is formed together with the milking portion on the protrusion702. However, it will be appreciated that the blood collection part 707may be spaced from the milking portion as described in the aboveembodiments and shown in FIG. 7. The blood collection part 707 has thefunction of drawing blood that is in contact with the disc edge 704 to ablood analyte measuring part 708 (refer to FIG. 17) adjoining the bloodcollection part 707. The milking portion formed by the protrusion 702has the function of increasing the pressure applied to the bulbous partof the user's digit. As the milking portion moves into contact with andover the user's digit, blood under the skin is caused to be pushedtowards the puncture caused by the lancet.

The test disc member 701 has a recessed section 709 formed in itsuppermost surface 703. The recessed section 709 defines a section ofreduced thickness of the test disc member 701. The recessed section 709extends from the disc edge 704 and has a base 710. The base 710 extendsalong a plane parallel to, but spaced from, the uppermost surface 703 ofthe test disc member 701. A wall 711 extends from the disc edge 704 anddefines a step between the recessed section base 710 and the uppermostsurface 703 of the test disc member 701. The wall 711 has a rear part712, and an end part 713 extending between the rear part 712 and thedisc edge 704.

A resilient member 714, acting as an actuating element, extends from thewall 711 into the recessed section 709. The resilient member 714 isintegrally formed with the test disc member 701. The resilient member714 has a free end 714A configured to move relative to the rest of thetest disc member 701. The test disc member 714 is formed from a laminatehaving a lower disc part 715 and an upper disc part 716 mounted to anupper surface of the lower disc part 715. The upper disc part 716 has acutaway to define the recessed section 709. The resilient member 714 isformed by an arm extending in the cutaway defined in the upper disc part716.

The lower disc part 715 is mounted to the upper disc part 716. A portionof the upper surface of the lower disc part 715 forms the base 710 ofthe recessed section 709. The upper disc part 716 is fixedly mounted tothe lower disc part 715, for example by use of an adhesive. However, itwill be understood that the resilient member 714 free to deflectrelative to the test disc member in response to a force acting on theresilient member 714, or the removal of a force acting on the resilientmember 714.

The upper disc part 716 is formed from a resilient material so that theresilient member is able to deflect in response to the application orremoval of a force on the resilient member 714. The lower disc part 715may be formed from a disc part with an increased rigidity to limitdeflection of the test disc member 701.

Although the recessed section is formed in the uppermost surface, itwill be appreciated that the recessed section may be formed in thelowermost surface. The test disc member in the above describedembodiment is formed from a laminate of upper and lower disc parts.However, it will be understood that the test disc member may be formedfrom a single disc part with the recessed section formed in it.Furthermore, the resilient member 714 may be fixedly attached to thedisc part at one end. This enables the resilient member 714 to be formedfrom a material with different resilient properties to the test discmember 701.

A lancing member 718 is pivotally mounted in the recessed section 709.The pivot axis of the lancing member 718 extends parallel to, but spacedfrom, the longitudinal axis of the shaft 204. The lancing member 718 ispivotably mounted to the base 710 of the recessed section 709 by a pivotpin 719. One end of the pivot pin 719 is embedded within the test discmember and upstands from the base of the recessed section 709. Thelancing member 718 pivots about the pivot pin 719. Alternatively, thepivot pin 719 is embedded in the lancing member and rotates in a boreformed in the base of the recessed section. The lancing member 718 isfree to rotate so that a distal end 720 of the lancing member 718extends from the disc edge 704. The thickness of the lancing member 718between top and bottom faces corresponds to or is less than the depth ofthe recessed section 709. Therefore, the lancing member 718 does notprotrude from the uppermost surface of the 703 of the test disc member.

The diameter of each of the lower and upper parts 715, 716 of the testdisc member 208 are equal. The depth of the recessed section 709 isabout half of the thickness of the disc.

The lancing member 718 is elongate and the pivot axis of the lancingmember 718 is offset to one end of the lancing member 718 so that thedistal end 720 of the lancing member 718 is able to rotate about thepivot axis. The lancing member 718 has an inner cam face 721 which isconfigured to locate against the resilient member 714 and an outer camface 722 which is configured to locate against an inner surface 723 ofthe cartridge 106, as will be explained in detail below. The outer camface 722 acts as a cam. The outer cam face 722 is arcuate and forms aconcave surface. The inner cam face 721 is arcuate and forms a concavesurface.

A lancet 309 is shown protruding from the lancing member 718. The lancet309 is provided at the distal end 720 of the lancing member 718. Thelancet 309 is embedded within the material of the lancing member 718,and has a sharp point which extends outwardly from the lancing member718. The lancet 309 extends from the inner cam face 721 of the lancingmember 718 so that the lancet 309 does not contact the inner surface 723of the cartridge 106. The lancet 309 extends in a substantially radialdirection from the pivot axis lancing member 718.

Operation will now be described with reference to FIGS. 25 to 27.

As shown in FIG. 25, the test disc members 701 commence at the sameorientation with the first test disc member 208 uppermost. Operation andmovement of the test disc members is generally the same as for theembodiments described above and shown in FIGS. 1 to 24 and so a detaileddescription will be omitted. Furthermore, the guide members and notchesare not shown in FIGS. 25 to 27.

In FIG. 25, the test disc member 701 is disposed in its initialretracted position. At this position, the lancet 309 is not co-locatedwith the aperture 105. As such, the lancet 309 is in this position notoperational. Put another way, the lancet 309 at this position isshielded by the hollow cylindrical part 203, which constitutes part ofthe housing.

The free end 714A of the resilient member 714, acting as an actuatingelement, locates against the lancing member 718. The resilient member714 acts on the rear side of the lancing member 718 and urges thelancing member 718 to pivot about its pivot axis defined by the pivotpin 719. The resilient member 714 biases the lancing member 718 awayfrom the centre of the test disc member 701. The lancing member 718locates against the inner surface 723 of the cartridge 107. Theresilient member 714 urges the distal end of the lancing member 718against the inner surface 723. The lancing member is prevented frompivoting about its pivot axis by the distal end locating against theinner surface 723.

From the position shown in FIG. 25, the shaft 204 is caused to rotate ina clockwise direction. The drive dog 320 is engaged with the drive notch320 of the hole 705 of the test disc member 701, and so allows rotationof the shaft 204 to result in rotation of the test disc member 701. Thelancing member 718 rotates together with the test disc member 701 aboutthe rotational axis of the test disk member 701. However, the lancingmember 718 is prevented from pivoting relative to the test disc member701 by the inner surface 723. The lancing member 718 slides along theinner surface 723 of the cartridge 107 as the test disc member 701rotates. The cylindrical inner surface 723 of the cartridge 107 preventsthe lancing member 718 from pivoting relative to the test disc member701. The lancet 309 extends from the inner cam face 721 of the lancingmember 718. Therefore, the lancet 309 is spaced away from the innersurface 723 of the cartridge 107. The orientation of the lancet 309prevents it from impacting the inner surface 723.

Rotation of the test disc member 701 brings the lancing member 718 infront of the aperture 105 to an intermediate position as shown in FIG.26. As the outer cam face 722 of the lancing member 718 which is incontact with the inner surface 723 of the cartridge 107 slides along andpast the edge 105A of aperture 105, the lancing member 718 is able topivot in a direction away from the centre of the test disc member 701.The resilient member 714 biases the lancing member 718 in a directionaway from the centre of the test disc member 701 as the lancing member718 slides against the edge of the aperture 105. As the test disc member701 further rotates the resilient member 714 causes the lancing memberto pivot about its pivot axis due to the arc of the outer cam face 722sliding along the aperture edge 105A. The pivoting movement of thelancing member 718 causes the lancet to displace towards the aperture105. The lancet 309 therefore extends into and/or through the aperture105.

As such, a skin-covered part of a user (hereafter the part will bereferred to as a user's digit, for the sake of convenience) is lanced bythe lancet 309. This produces a puncture in the skin of the digit,through which blood can escape. FIG. 27 shows the test disc member 701rotated to the position where the lancet 309 is operable to lance theuser's digit. The end part 713 of the wall 711 acts as an end stop tolimit the rotation of the lancing member 718. The outer cam face 722abuts against the end part 713 to limit rotation. The shaft 204 iscaused to rotate only by a predetermined amount and so the maximumextent of travel of the lancet 309 is controlled. The penetration of thelancet 309 in the user's digit depends on a number of factors, as willbe appreciated by the person skilled in the art. The amount of rotation,and thus the depth of penetration, may be definable by a user. The depthof penetration is also dependent on the length of the lancing member 718and the resilience of the resilient member 714.

An advantage of the embodiment shown in FIGS. 25 to 27 is that arotational arrangement of the test disc member 701 can be used whilstallowing the lancet 309 to penetrate a user's skin in a longitudinaldirection with respect to the lancet 309. Another advantage is thatpuncture can occur at any desired location, for instance on the end ofthe user's digit, instead of puncturing occurring slightly on the sideof the end of the digit.

Subsequently, the shaft 204 is controlled to rotate in an anticlockwisedirection. This causes the lancing member 718 to slide along the edge105A of the aperture 105. The distal end of the lancing member 718pivots towards the centre of the test disc member 701. The path of thelancing member 718 and therefore the lancet 309 is defined by theprofile of the outer cam face 722 of the lancing member 718 slidingrelative to the edge 105A of the aperture 105. Pivoting of the lancingmember 718 causes the lancet 309 to be removed from the user's digit,and to retract away from the aperture 105.

The lancing member 718 then slides along the inner surface 723 of thecartridge 106. As the test disc member 701 continues to rotate in ananticlockwise direction, the milking portion defined by the protrusion702 and the blood collection part 708 are aligned with the aperture 105.At this point, an increased pressure is applied to the digit toencourage blood to be expelled from the puncture. Here, rotation ceases.At this location, blood that has been caused to be expelled from theuser's digit by the lancet 309 and by the increased pressure on theuser's digit is caused to be collected by the blood collection part 707.

At a suitable time, the shaft 204 is caused to be rotated further in ananticlockwise direction so that the test disc members are moved upwards,as described in the above embodiments.

Referring now to FIGS. 28 to 30, an alternative arrangement is shownwith a novel lancing technique. Reference numerals are retained fromabove-described embodiments for like elements. The test disc members ofthis arrangement are generally the same as the test disc members of theabove embodiment, and so a detailed description will be omitted herein.

In FIGS. 28 to 30, the cartridge 106 is shown disposed in the cavity inthe first housing part 107. The aperture 105 is formed in the hollowcylindrical housing part 203 of the cartridge 106. A plurality of testdisc members 750 are mounted on the shaft 204, although only one isvisible in FIGS. 28 to 30. The test disc member 750 has a generallycircular shape with the protrusion 702 provided on one side. Theprotrusion 702 constitutes the milking portion, and the blood collectionpart 707 is disposed on the protrusion 702.

The test disc member 750 shown in FIGS. 28 to 30 has generally the samearrangement and features as the test disc member 701 shown in FIGS. 25to 27 and so a detailed description will be omitted herein. Furthermore,the rotation and movement of the test disc members 750 is achieved bygenerally the same operation as described in the above embodiment. Ahole 750A is formed at the centre of the test disc member 750. The hole750A comprises a circular part centred on the test disc member 750 andhas a diameter equal to or slightly larger than the external diameter ofthe shaft 204, and a drive notch (not shown in FIGS. 28 to 30) whichabuts the circular part of the hole 750A and includes edges that areable to be engaged by a drive dog on the shaft 204 (not shown in FIGS.28 to 30).

The test disc member 750 has a recessed section 709 formed in itsuppermost surface 703. The recessed section 709 defines a section ofreduced thickness. The recessed section 709 extends from the disc edge704 and has a base 710. The base 710 extends along a plane parallel to,but spaced from, the uppermost surface 703 of the test disc member 750.A wall 711 extends from the disc edge 704 and defines a step between therecessed section base 710 and the uppermost surface 703 of the test discmember 750. The wall 711 has a rear part 712, and an end part 713extending between the rear part 712 and the disc edge 704.

A lancing member 751 is pivotally mounted in the recessed section 709.The pivot axis of the lancing member 751 extends parallel to, but spacedfrom, the longitudinal axis of the shaft 204. The lancing member 751 ispivotably mounted to the base 710 of the recessed section 709 by a pivotpin 752. One end of the pivot pin 752 is embedded within the test discmember and upstands from the base of the recessed section 709. Thelancing member 751 pivots about the pivot pin 752. Alternatively, thepivot pin 752 is embedded in the lancing member 751 and rotates in abore formed in the base of the recessed section. The thickness of thelancing member 751 corresponds to or is less than the thickness depth ofthe recessed section 709. Therefore, the lancing member 751 does notprotrude from the uppermost surface of the 703 of the test disc member.

The lancing member 751 is elongate and the pivot axis is offset to oneend so that the distal end of the lancing member 751 is able to rotateabout the pivot axis. The lancing member 751 has an outer cam face 753which is configured to locate against an inner surface 723 of thecartridge 106. The outer cam face 753 has an outer edge 754 and anangled portion 755.

A cut-out 755 is formed at the distal end of the lancing member 751 onthe outer side of the lancing member 751, adjacent to the outer cam face753. A lancet 309 protrudes from the lancing member 718. The lancet 309is provided in the cut-out 755 formed in the lancing member 718. Thelancet 309 is embedded within the material of the lancing member 718,and has a sharp point which extends outwardly from the lancing member718. The lancet 309 extends substantially perpendicular to the pivotaxis of the lancing member 751. The lancing member 751 extends in thecut-out so that the lancet 309 does not contact the inner surface 723 ofthe cartridge 106. The lancet 309 extends in a substantially radialdirection from the longitudinal axis of the shaft 204.

A resilient member 756, acting as an actuating element, extends from arear side 757 of the lancing member 751. The resilient member 756 isfixedly mounted to the rear side 757 of the lancing member 751. Theresilient member 756 in the present embodiment is a helical spring.However, it will be understood that alternative resilient means may beused, for example a rubber element. The resilient member 756 isconfigured to locate in the recessed section 709 of the test disc member750, against the rear part 712 of the wall 711. The resilient member 756is spaced from the pivot axis of the lancing member 751 so that it canapply a rotational force to the lancing member 756.

Although the resilient member 756 is fixedly mounted to the lancingmember 751 and extends towards and is locatable against the wall 711 ofthe recessed section 709, it will be understood that in an alternativeembodiment the resilient member 756 is fixedly mounted to the wall 711of the recessed section 709 and extends towards and is locatable againstthe rear side 757 of the lancing member 751. The resilient member 756may also be fixedly mounted between the wall 711 and the lancing member751. An advantage of this arrangement is that the resilient member 756may be used to limit the angle through which the lancing member 751 isable to pivot.

Operation will now be described with reference to FIGS. 28 to 30.

As shown in FIG. 28, the test disc members 750 commence at the sameorientation with the first test disc member 750 uppermost. Operation andmovement of the test disc members is generally the same as for theembodiments described above and shown in FIGS. 1 to 27 and so a detaileddescription will be omitted. Furthermore, the guide members and notchesare not shown in FIGS. 28 to 30.

In FIG. 28, the test disc member 750 is disposed in a retractedposition. As such, the lancet 309 is in this position not operational.The outer edge 754 of the outer cam face 753 of the lancing member 751locates against the inner surface 723 of the cartridge 107. Theresilient member 756, acting as an actuating element, extends from therear side of the lancing member 751 and is compressed between thelancing member 751 and the wall 711. The resilient member 756 acts onthe rear side of the lancing member 751 and urges the lancing member 751to pivot about its pivot axis defined by the pivot pin 752. Theresilient member 756 biases the lancing member 751 away from the centreof the test disc member 701. The resilient member 756 urges the outeredge 754 of the outer cam face 753 of the lancing member 718 against theinner surface 723.

The shaft 204 is then caused to rotate in a clockwise direction asdescribed in the above embodiments. The lancing member 751 rotatestogether with the test disc member 750 about the rotational axis of thetest disk member 750. However, the lancing member 751 is prevented frompivoting relative to the test disc member 750 about its pivot axis bythe outer edge 754 locating against the inner surface 723. The outeredge 754 slides along the inner surface 723 of the cartridge 107 as thetest disc member 701 rotates. The lancet 309 extends in the cut-out 755in the lancing member 751 and so is spaced away from the inner surface723 of the cartridge 107. Therefore, the lancet 309 is prevented fromimpacting the inner surface 723.

Rotation of the test disc member 750 brings the outer edge 754 of thelancing member outer cam face 753 to the edge 105A of the aperture 105.The lancet 309 is then co-incident with the aperture 105 in anintermediate position as shown in FIG. 26. As the test disc member 750continues to rotate, the outer cam face 753 of the lancing member 751slides along the edge 105A of aperture 105. Thus, the lancing memberpivots in a direction away from the centre of the test disc member 750.The resilient member 756 biases the lancing member 751 in a directionaway from the centre of the test disc member 750. The profile and angleof the outer cam face 753 causes the lancing member to pivot about itspivot axis Therefore, the lancet 309 displaces towards the aperture 105and extends into and/or through the aperture 105.

As such, a skin-covered part of a user (hereafter the part will bereferred to as a user's digit, for the sake of convenience) is lanced bythe lancet 309. FIG. 30 shows the test disc member 750 rotated to theposition where the lancet 309 is operable to lance the user's digit. Theshaft 204 is caused to rotate only by a predetermined amount and so themaximum extent of travel of the lancet 309 is controlled by the outercam face 753 locating against the aperture edge 105A. The penetration ofthe lancet 309 in the user's digit depends on a number of factors, aswill be appreciated by the person skilled in the art. The amount ofrotation, and thus the depth of penetration, may be definable by a user.The depth of penetration is also dependent on the length of the lancingmember 718 and the resilience and expanded size of the resilient member714.

An advantage of the arrangement shown in FIGS. 28 to 30 is that arotational arrangement of the test disc member 750 can be used whilstallowing the lancet to penetrate a user's skin in a longitudinaldirection with respect to the lancet. Another advantage is that puncturecan occur at any desired location, for instance on the end of the user'sdigit, instead of puncturing occurring slightly on the side of the endof the digit.

Subsequently, the shaft 204 is controlled to rotate in an anticlockwisedirection. This causes the outer cam face 753 of the lancing member 751to slide along the edge 105A and the distal end of the lancing member753 to pivot towards the centre of the test disc member 701. Pivoting ofthe lancing member 718 causes the lancet 309 to be removed from theuser's digit, and to retract away from the aperture 105.

Operation of the apparatus then continues in the same manner asdescribed in respect of the above embodiments.

Referring now to FIGS. 31 to 33, an alternative arrangement is shownwith a novel lancing technique. Reference numerals are retained fromabove-described embodiments for like elements. The test disc members ofthis arrangement are generally the same as the test disc members of theabove embodiment, and so a detailed description will be omitted herein.

In FIGS. 31 to 33, the cartridge 106 is shown disposed in the cavity inthe first housing part 107. The aperture 105 is formed in the hollowcylindrical housing part 203 of the cartridge 106. A plurality of testdisc members 800 are mounted on the shaft 204, although only one isvisible in FIGS. 31 to 33.

The test disc member 800 shown in FIGS. 31 to 33 has generally the samearrangement and features as the test disc members shown in FIGS. 1 to 30and so a detailed description will be omitted herein. Furthermore, therotation and movement of the test disc members is achieved by generallythe same operation as described in the above embodiment. However, in thepresent embodiment the test disc member 800 has an outer part 801 and aninner part 802. The inner part 801 has a circular profile. A hole 803 isformed at the centre of the inner part 801. The hole 803 comprises acircular part centred on the test disc member 800 and has a diameterequal to or slightly larger than the external diameter of the shaft 204,and a drive notch (not shown in FIGS. 31 to 33) which abuts the circularpart of the hole 803 and includes edges that are able to be engaged by adrive dog on the shaft 204.

The outer part 801 extends annularly around the inner part 802. Theouter part 801 is formed as an annulus or disc and lies on the sameplane as the inner part 802.

The majority of the test disc member 800 is substantially rigid.However, two resilient arms 804 extend between the outer and inner parts801,802. Each resilient arm 804 extends radially between the outer andinner parts 801, 802. The resilient arms 804 are deformable in thepresence of an externally applied force. This means that the outer part801 of the test disc member 800 can be displaced relative to the shaft204. The two resilient arms 804 extend from diametrically opposite sidesof the inner part 802.

The inner and outer parts 801, 802 and resilient arms 804 are integrallyformed with each other. An advantage of the inner part 801, outer part802 and resilient arms 804 being integrally formed is that the test discmember 800 is simple to manufacture and does not require assembly. Thetest disc member may be formed from a plastic material, for example arubberised plastic.

The resilience of the resilient arms 804 is dependent on thecross-sectional area and shape of each resilient arm 804. The width ofeach resilient arm 804 and the thickness are configured to provide adesired resilience. However, the width of each resilient arm 804 and thethickness are also configured to prevent twisting of the outer part 801relative to the inner part 802.

The outer part 801 has a recessed section 709 formed in its uppermostsurface 703. The recessed section 709 defines a section of reducedthickness. The recessed section 709 extends from the disc edge 704 andhas a base 710. A wall 711 extends from the disc edge 704 and defines astep between the recessed section base 710 and the uppermost surface 703of the outer part 801. The recessed section 709 is midway along theouter part 801 between the two resilient arms 804. The recessed section709 is formed in a region of the outer part which is substantiallyperpendicular to the resilient arms 804.

A lancing member 805 is pivotally mounted in the recessed section 709.The pivot axis of the lancing member 805 extends parallel to, but spacedfrom, the longitudinal axis of the shaft 204. The lancing member 805 ispivotably mounted to the base 710 of the recessed section 709 by a pivotpin 806. The lancing member 805 pivots about the pivot pin 806.

The lancing member 805 is elongate and the pivot axis is offset to oneend.

An indent 807 is formed in the side of the lancing member 805. Acorresponding tab 808, acting as an actuating element, is formed on theinner surface 723 of the cartridge 106. The indent 807 is formed in arear end 809 of the lancing member 805. A lancet 309 protrudes from thelancing member 805. The lancet 309 protrudes from a front end 810 of thelancing member 805, spaced from the indent 807. The lancet 309 protrudessubstantially at a right angle to a radial line defined between theindent 807 and the pivot axis of the lancing member 805. The tab 808protrudes inwardly from the inner surface 723. The tab 808 is disposedadjacent to the edge 105A of the aperture 105A.

The pivot axis of the lancing member 805 is defined proximate to thedisc edge 704 so that the lancing member 805 protrudes from the discedge 704.

Operation will now be described with reference to FIGS. 31 to 33.

Operation and movement of the test disc members is generally the same asfor the embodiments described above and shown in FIGS. 1 to 30.Therefore, a detailed description will be omitted. Furthermore, theguide members and notches are not shown in FIGS. 31 to 33.

In FIG. 31, the test disc member 800 is disposed in a retractedposition. As such, the lancet 309 is in this position not operational.The lancing member 805 is rotated so that the lancet 309 is received inthe recessed section 709. The rear end 809 of the lancing member 805protrudes from the disc edge 704. The rear end 809 is disposed proximateto, but spaced from, the inner surface 723 of the cartridge 106. Theindent 807 formed in the lancing member 805 faces the tab 808 protrudinginwardly from the inner surface 723 of the cartridge 106.

The shaft 204 is then caused to rotate in a clockwise direction asdescribed in the above embodiments. As the test disc member 800 rotatesthe outer part 801 rotates with the inner part 802 due to the rigidityof the resilient arms 804. The lancing member 805 rotates together withthe test disc member 800 about the rotational axis of the test diskmember 800. The lancing member 805 is restricted from pivoting relativeto the test disc member 800 by the rear end 809 of the lancing member805 abutting the inner surface 723.

Rotation of the test disc member 800 brings the indent 807 into contactwith the tab 808 protruding inwardly from the inner surface 723 of thecartridge 106. As the tab 808 is upstanding from the inner surface 723,it locates in the indent 807 as the test disc member 800 rotates. Thetab 808 therefore restricts rotation of the lancing member 805 togetherwith the test disc member 800. Further rotation of the test disc membercauses the tab 808 to exert a force on the lancing member 805 and thelancing member 805 is urged to pivot about its pivot axis. As the tab808 acts on the lancing member 805, the resilient arms 804 are urged toresiliently deform. Therefore, the outer part 801 moves relative to theinner part 802 and a resilient force acts on the lancing member 805. Thelancing member 805 is biased in a direction away from the centre of thetest disc member 800.

Further rotation of the test disc member 800 causes the lancing member805 to further pivot about its axis until the pivot axis of the lancingmember 805 rotates radially past the indent 807. At this point the tab808 is released from the indent 807 and the lancing member 805 is freeto rotate. The force exerted on the lancing member 805 by the test discmember 800 in a radial direction is released. This causes the lancingmember to pivot about its pivot axis and flicks the lancet 309 so thatthe lancet 309 displaces towards the aperture 105 and extends intoand/or through the aperture 105.

As such, a skin-covered part of a user (hereafter the part will bereferred to as a user's digit, for the sake of convenience) is lanced bythe lancet 309. FIG. 33 shows the lancing member 805 pivoted to theposition where the lancet 309 lances the user's digit. The penetrationof the lancet 309 in the user's digit depends on a number of factors, aswill be appreciated by the person skilled in the art.

An advantage of the arrangement shown in FIGS. 31 to 33 is that arotational arrangement of the test disc member 750 can be used whilstallowing the lancet to penetrate a user's skin in a longitudinaldirection with respect to the lancet. Another advantage is that puncturecan occur at any desired location, for instance on the end of the user'sdigit, instead of puncturing occurring slightly on the side of the endof the digit. A further advantage of the present embodiment is that thelancing force and lancing speed may be determined to controllably lancea user's digit irrespective of the speed of rotation of the test discmember 750.

Subsequently, the shaft 204 is controlled to rotate in an anticlockwisedirection. This causes the tab 808 to relocate in the indent 807 of thelancing member 805. The lancing member 805 is therefore urged to pivotin the opposite direction, and return to its initial position.Alternatively, it will be understood that following the piercing action,the lancing member 805 may rotate so that the lancing member 805continues to rotate and falls into the recessed section 709, without theneed for the tab 808 to relocate in the indent 807. Pivoting of thelancing member 805 causes the lancet 309 to be removed from the user'sdigit, and to retract away from the aperture 105.

Operation of the apparatus then continues in the same manner asdescribed in respect of the above embodiments.

Although two diametrically opposing resilient arms are shown, it will beappreciated that alternative arrangements are possible. For example, analternative number or arrangement of resilient arms may be used.Furthermore, the resilient arms may be replaced by a disc formed from aresilient material extending between the outer and inner parts, or fromthe outer part to the shaft.

Referring now to FIGS. 34 to 36, an alternative arrangement is shownwith a novel lancing technique. Reference numerals are retained fromabove-described embodiments for like elements. The test disc members ofthis arrangement are generally the same as the test disc members of theabove embodiments, and so a detailed description will be omitted herein.

In FIGS. 34 to 36, the aperture 105 is formed in the hollow cylindricalhousing part 203 of the cartridge 106. The test disc member 850 has agenerally circular shape with the protrusion 702 provided on one side.The protrusion 702 constitutes the milking portion, and the bloodcollection part is disposed on the protrusion 702.

The test disc member 850 shown in FIGS. 34 to 36 has generally the samearrangement and features as the test disc members shown in FIGS. 25 to30 and so a detailed description will be omitted herein. Furthermore,the rotation and movement of the test disc members 850 is achieved bygenerally the same operation as described in the above embodiment. Ahole 850A is formed at the centre of the test disc member 850. The hole850A comprises a circular part centred on the test disc member 850 andhas a diameter equal to or slightly larger than the external diameter ofthe shaft 204, and a drive notch (not shown in FIGS. 34 to 36) whichabuts the circular part of the hole 850A and includes edges that areable to be engaged by a drive dog on the shaft 204 (not shown in FIGS.34 to 36).

The test disc member 850 has a recessed section 709 formed in itsuppermost surface 703. The recessed section 709 defines a section ofreduced thickness. The recessed section 709 extends from the disc edge704 and has a base 710. The base 710 extends along a plane parallel to,but spaced from, the uppermost surface 703 of the test disc member 750.A wall 711 extends from the disc edge 704 and defines a step between therecessed section base 710 and the uppermost surface 703 of the test discmember 750.

A lancing member 851 is pivotally mounted in the recessed section 709.The pivot axis of the lancing member 851 extends parallel to, but spacedfrom, the longitudinal axis of the shaft 204. The lancing member 851 ispivotably mounted to the base 710 of the recessed section 709 by a pivotpin 852. One end of the pivot pin 852 is embedded within the test discmember and upstands from the base of the recessed section 709. Thelancing member 851 pivots about the pivot pin 852. Alternatively, thepivot pin 852 is fixedly mounted to the lancing member 851 and rotatesin a bore formed in the base of the recessed section. The thickness ofthe lancing member 851 corresponds to or is less than the thicknessdepth of the recessed section 709. Therefore, the lancing member 851does not protrude from the uppermost surface of the 703 of the test discmember 850.

The lancing member 851 is elongate and the pivot axis is offset to oneend of the lancing member 851 so that a distal end 853 of the lancingmember 751 is able to rotate about the pivot axis. The lancing member851 has an inner cam face 854 which is positionable against the wall 711of the recessed section 709. The lancing member 851 also has an outercam face 855 which faces the inner surface 723 of the cartridge 106.

A lancet 309 protrudes from the lancing member 851. The lancet 309 isprovided at the distal end 853 of the lancing member 851. The lancet 309is embedded within the material of the lancing member 851, and has asharp point which extends outwardly from the lancing member 851. Thelancet 309 extends from the lancing member 851 so that the lancet 309does not contact the inner surface 723 of the cartridge 106.

A guide member 856, acting as an actuating element, extends from theinner surface 723 of the cartridge 106. The inner surface 723 has aguide edge 857 which extends from one edge 105B of the aperture 105. Theguide member 856 is a flange which is configured to locate in the recesssection 709 of the test disc member 850. When the test disc member 850is biased upwardly in the cartridge 106, the base 710 of the recesssection 709 may locate against a lower surface of the guide member 856.The guide member 856 may act to restrict upward motion of the test discmember. The guide edge 857 extends at an angle to the radial linebetween the edge 105B of the aperture 105 and the centre of the testdisc member. The guide edge 857 protrudes into the space behind theaperture 105.

A gap 858 is formed through the test disc member 850 between the base710 of the recess section 709 and the lower surface of the test discmember 850. The gap 858 is formed at an opposing end of the recesssection 709 to the lancing member 851.

Operation will now be described with reference to FIGS. 34 to 36.

As shown in FIG. 34, the test disc members 850 commence at the sameorientation with the first test disc member 850 uppermost. Operation andmovement of the test disc members is generally the same as for theembodiments described above and shown in FIGS. 1 to 27 and so a detaileddescription will be omitted. Furthermore, the guide members and notchesare not shown in FIGS. 34 to 36.

In FIG. 34, the test disc member 750 is disposed in a retractedposition. As such, the lancet 309 is in this position not operational.The lancing member 851 extends in the recess section 109. The inner camface 854 is located against the wall 711. From the position shown inFIG. 34, the shaft 204 is caused to rotate in a clockwise direction asdescribed in the above embodiments. The lancing member 851 rotatestogether with the test disc member 850 about the rotational axis of thetest disk member 850. However, the lancing member 851 is restricted frompivoting relative to the test disc member 850 about its pivot axis bythe outer cam face 855 locating against the inner surface 723 of thecartridge and sliding therealong as the test disc member 750 rotates.The lancet 309 is retracted in the recessed section 709 and so is spacedaway from the inner surface 723 of the cartridge 107. Therefore, thelancet 309 is prevented from impacting the inner surface 723. The guidemember 856 slides in the recess section 709 as the test disc member isrotated.

Rotation of the test disc member 850 brings the lancing member 851 infront of the aperture 105 to an intermediate position as shown in FIG.35. As the guide edge 857 of the guide member 856 extends into the spacebehind the aperture 105 the distal end 853 of the lancing member 851 isbrought into contact with a free end of the guide edge 857 of the guidemember 856. As the test disc member 850 further rotates the guide edge857 acts on the inner cam face 854 of the lancing member 851 and causesthe lancing member 851 to pivot about its pivot axis. The inner cam face854 of the lancing member 851 slides along the guide edge 857 causingthe lancing member 851 to further pivot about its pivot axis. Thepivoting movement of the lancing member 851 causes the lancet 309 todisplace towards the aperture 105. The lancing member therefore extendsinto or through the aperture 105. As the lancing member 718 pivots, thelancet 309 is displaced towards the aperture 105 and extends into and/orthrough the aperture 105.

As such, a skin-covered part of a user (hereafter the part will bereferred to as a user's digit, for the sake of convenience) is lanced bythe lancet 309. This produces a puncture in the skin of the digit,through which blood can escape. FIG. 36 shows the test disc member 851rotated to the position where the lancet 309 is operable to lance theuser's digit. The shaft 204 is caused to rotate only by a predeterminedamount and so the maximum extent of travel of the lancet 309 iscontrolled. It will be understood that the lancing member 851, acting asa cam, may limit rotation of the test disc member 701. The penetrationof the lancet 309 in the user's digit depends on a number of factors, aswill be appreciated by the person skilled in the art. The amount ofrotation, and thus the depth of penetration, may be definable by a user.

An advantage of the arrangement shown in FIGS. 34 to 36 is that arotational arrangement of the test disc member 701 can be used whilstallowing the lancet 309 to penetrate a user's skin in a longitudinaldirection with respect to the lancet 309. Another advantage is thatpuncture can occur at any desired location, for instance on the end ofthe user's digit, instead of puncturing occurring slightly on the sideof the end of the digit.

Subsequently, the shaft 204 is controlled to rotate in an anticlockwisedirection, and so the test disc member 850 rotates in an anticlockwisedirection. This causes the outer cam face 855 to contact an edge 105A ofthe cartridge 106. The edge 105A acts on the lancing member 851 and thelancing member slides along the edge 105A of the aperture 105.Therefore, the distal end 853 of the lancing member 851 to pivot towardsthe centre of the test disc member 850. Pivoting of the lancing member851 towards the centre of the test disc member 850 causes the lancet 309to be removed from the user's digit, and to retract away from theaperture 105.

The lancing member 851 then slides along the inner surface 723 of thecartridge 106. As the test disc member 701 continues to rotate in ananticlockwise direction, the milking portion defined by the protrusion702 and the blood collection part are aligned with the aperture 105. Atthis point, an increased pressure is applied to the digit to encourageblood to be expelled from the puncture. Here, rotation ceases. At thislocation, blood that has been caused to be expelled from the user'sdigit by the lancet 309 and by the increased pressure on the user'sdigit is caused to be collected by the blood collection part.

At a suitable time, the shaft 204 is caused to be rotated further in ananticlockwise direction, as described with reference to aboveembodiments. The test disc member 850 is rotated until the guide member857 is co-incident with the gap 858. The gap 858 is configured to allowthe guide member 857 to pass through the gap 858. Therefore, the guidemember 857 does not prevent upward movement of the first test discmember 850. As such, the stack of test disc members are moved upwards byvirtue of the bias means (not shown).

1-16. (canceled)
 17. An apparatus for eliciting a blood samplecomprising: a housing having an aperture; a shaft extending in thehousing; a testing member mounted on the shaft and configured to rotatewith the shaft; a lancing member pivotably mounted to the testingmember; and a lancet protruding from the lancing member; wherein thelancing member is configured to pivot relative to the testing memberfrom a retracted position to a skin penetrating position in which thelancet extends into or through the aperture when the testing member isrotated so that the lancing member is coincident with the aperture. 18.An apparatus according to claim 17, further comprising an actuatingelement configured to act on the lancing member so that the lancingmember pivots from a retracted position to a skin penetrating positionwhen the lancing member is coincident with the aperture.
 19. Anapparatus according to claim 18, wherein the actuating element isconfigured to bias the lancing member against the housing when thelancing member is in a retracted position.
 20. An apparatus according toclaim 19, wherein the actuating element is a resilient member configuredto act on the lancing member.
 21. An apparatus according to claim 20,wherein the actuating element extends from the testing member to act onthe lancing member.
 22. An apparatus according to claim 21, wherein theactuating element is integrally formed with the testing member.
 23. Anapparatus according to claim 20, wherein the actuating element extendsfrom the lancing member to act on the testing member.
 24. An apparatusaccording to claim 18, wherein the actuating element extends from thehousing.
 25. An apparatus according to claim 24, wherein the actuatingelement has a guide surface against which the lancing member locates,the guide surface being configured to urge the lancing member to pivotas the testing member is rotated so that the lancing member iscoincident with the aperture.
 26. An apparatus according to claim 18,wherein the lancing member further comprises a cam face configured todetermine the path of the lancing member from the retracted position tothe skin penetrating position.
 27. An apparatus according to claim 26,wherein the cam face is configured to locate against the housing.
 28. Anapparatus according to claim 24, wherein actuating element is a tabconfigured to locate in an indent in the lancing member and urge thelancing member to pivot as the testing member is rotated so that thelancing member is coincident with the aperture.
 29. An apparatusaccording to claim 28, further comprising a biasing element configuredto bias the lancing member against the housing.
 30. An apparatusaccording to claim 17, further comprising a recessed section in whichthe lancing member is received.
 31. An apparatus according to claim 17configured to be a cartridge receivable in a meter.
 32. An apparatusaccording to claim 17, further comprising a meter.